Organization
OAKTREE HEALTH AND REHABILITATION CENTER, LLC
Active
Other names
Christian Care Center of Memphis
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY R LEWIS (CHIEF MANAGER)
(423) 975-5455
Entity
Organization
Contact information
Practice address
6500 KIRBY GATE CV, MEMPHIS, TN 38119-8203
(901) 752-0772
Mailing address
2020 NORTHPARK DR, SUITE 2D, JOHNSON CITY, TN 37604-3100
(423) 975-5455
(423) 975-5405
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
TN
314000000X
Skilled Nursing Facility
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q021686
—
TN
05
—
Q021687
—
TN
Enumeration date
04/01/2015
Last updated
08/24/2016
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